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1912448580
DEREK LE
NEWARK, OH
NPI
1912448580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-03-16
Last Update Date
2017-03-16
Business Address
-- DEREK LE QMHS
65 MESSIMER DR
NEWARK, OH 43055-1874
Phone number: 740-501-7659
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Mailing Address
-- DEREK LE QMHS
65 MESSIMER DR
NEWARK, OH 43055-1874
Phone number: 740-501-7659
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